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dc.contributor.authorMorgan, KLen
dc.contributor.authorRahman, MAen
dc.contributor.authorHill, RAen
dc.contributor.authorZhou, S-Men
dc.contributor.authorBijlsma, Gen
dc.contributor.authorKhanom, Aen
dc.contributor.authorLyons, RAen
dc.contributor.authorBrophy, STen
dc.date.accessioned2021-02-04T22:21:08Z
dc.date.available2021-02-04T22:21:08Z
dc.date.issued2014en
dc.identifier.urihttp://hdl.handle.net/10026.1/16852
dc.description.abstract

BACKGROUND: This study examines the effect of low daily physical activity levels and overweight/obesity in pregnancy on delivery and perinatal outcomes. METHODS: A prospective cohort study combining manually collected postnatal notes with anonymised data linkage. A total of 466 women sampled from the Growing Up in Wales: Environments for Healthy Living study. Women completed a questionnaire and were included in the study if they had an available Body mass index (BMI) (collected at 12 weeks gestation from antenatal records) and/or a physical activity score during pregnancy (7-day Actigraph reading). The full statistical model included the following potential confounding factors: maternal age, parity and smoking status. Main outcome measures included induction rates, duration of labour, mode of delivery, infant health and duration of hospital stay. FINDINGS: Mothers with lower physical activity levels were more likely to have an instrumental delivery (including forceps, ventouse and elective and emergency caesarean) in comparison to mothers with higher activity levels (adjusted OR:1.72(95%CI: 1.05 to 2.9)). Overweight/obese mothers were more likely to require an induction (adjusted OR:1.93 (95%CI 1.14 to 3.26), have a macrosomic baby (adjusted OR:1.96 (95%CI 1.08 to 3.56) and a longer hospital stay after delivery (adjusted OR:2.69 (95%CI 1.11 to 6.47). CONCLUSIONS: The type of delivery was associated with maternal physical activity level and not BMI. Perinatal outcomes (large for gestational age only) were determined by maternal BMI.

en
dc.format.extente94532 - ?en
dc.languageengen
dc.language.isoengen
dc.subjectAdulten
dc.subjectApgar Scoreen
dc.subjectBody Mass Indexen
dc.subjectDelivery, Obstetricen
dc.subjectFemaleen
dc.subjectHumansen
dc.subjectInfant, Newbornen
dc.subjectInfant, Small for Gestational Ageen
dc.subjectLength of Stayen
dc.subjectModels, Statisticalen
dc.subjectMotor Activityen
dc.subjectOverweighten
dc.subjectParityen
dc.subjectPregnancyen
dc.subjectProspective Studiesen
dc.subjectSmokingen
dc.subjectSocial Classen
dc.subjectSurveys and Questionnairesen
dc.titlePhysical activity and excess weight in pregnancy have independent and unique effects on delivery and perinatal outcomes.en
dc.typeJournal Article
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/24722411en
plymouth.issue4en
plymouth.volume9en
plymouth.publication-statusPublished onlineen
plymouth.journalPLoS Oneen
dc.identifier.doi10.1371/journal.pone.0094532en
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/School of Nursing and Midwifery
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeUnited Statesen
dcterms.dateAccepted2014-03-18en
dc.identifier.eissn1932-6203en
dc.rights.embargoperiodNot knownen
rioxxterms.versionofrecord10.1371/journal.pone.0094532en
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2014en
rioxxterms.typeJournal Article/Reviewen


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